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Strengthening Midwifery Services in India based on lessons learnt from Sweden and Sri Lanka

Author

Listed:
  • Mavalankar, Dileep
  • Vora Kranti
  • Sharma Bharati

Abstract

Objective: The objective of the paper is to know how India can strengthen midwifery services to reduce maternal mortality based on the lessons learnt from Sweden and Sri Lanka. Method: The paper is based mainly on the literature review, field visit to Sweden and interaction with maternal health experts from Sweden and Sri Lanka. Conclusion: High maternal mortality in India is due to absence of skilled attendance at the time of delivery and poor post-natal care. Seventy percent Indian population is rural and it is not possible to have doctors for all births. Adopting evidence-based interventions such as developing a skilled cadre of locally available midwives backed up by efficient referral and emergency obstetric care services like Sweden and Sri Lanka will help India achieve the goal of reducing maternal mortality with the existing resources. Analysis also shows that establishing quality training, independent regulating body and standardizing midwifery practices in India requires sustained efforts from government, professionals and society, and reorganization of health systems. Creating the scope for career advancement will help to improve status of midwifery as a profession.

Suggested Citation

  • Mavalankar, Dileep & Vora Kranti & Sharma Bharati, 2007. "Strengthening Midwifery Services in India based on lessons learnt from Sweden and Sri Lanka," IIMA Working Papers WP2007-06-07, Indian Institute of Management Ahmedabad, Research and Publication Department.
  • Handle: RePEc:iim:iimawp:wp02037
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    File URL: https://www.iima.ac.in/sites/default/files/rnpfiles/2007-06-07Mavalankar.pdf
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    References listed on IDEAS

    as
    1. Marjorie A. Koblinsky, 2003. "Reducing Maternal Mortality : Learning from Bolivia, China, Egypt, Honduras, Indonesia, Jamaica, and Zimbabwe," World Bank Publications - Books, The World Bank Group, number 15163, December.
    2. Högberg, U., 2004. "The decline in maternal mortality in Sweden: The role of community midwifery," American Journal of Public Health, American Public Health Association, vol. 94(8), pages 1312-1320.
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